Behavioral Health Trainer/Consultant (Remote in West Virginia)

Job DescriptionBehavioral Health Trainer/Consultant * Are you an experienced Behavioral Health Professional looking for a new challenge? * Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: The Clinical Assessor, Field or Telephonic ( Behavioral Health Trainer/Consultant ) will perform retrospective reviews of WV Medicaid providers, offering behavioral health and substance abuse services, to ensure compliance with Contract requirements. Provider reviews, both on-site and desk audits, will assess medical necessity and compliance with WV Medicaid documentation standards. The Behavioral Health Trainer/Consultant provides ongoing training, consultation, and technical assistance with providers to ensure understanding of WV Medicaid guidelines and expectations. The Behavioral Health Trainer/Consultant also assists with the certification process of SUD Waiver Services. The Trainer/Consultant must manage a caseload to ensure that reviews and trainings are conducted within appropriate timeframes. The Trainer/Consultant will also work in close coordination with team members to ensure all deliverables are met. This is a remote position with travel required. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise. We do this through our people. At Kepro, you can do meaningful work that makes a real difference for the lives of individuals across the country. We are an organization that cares deeply about our employees and we provide the training and support to do the best work of your career. Benefits are a key component of your rewards package at Kepro. These benefits are designed to provide you and your family additional protection, security, and support for both your career and your life away from work. They are comprehensive and fit a variety of needs and situations. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts and more. What you'll do: * Conducts and appropriately documents provider retrospective reviews utilizing established UM Guidelines, WV Medicaid manuals, and other resources. * Reviews and interprets member records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services. * Provide recommendations related to clinical policies and procedures based on the analysis of information obtained through provider reviews and utilization data analysis. * Interface with staff and contractors regarding provider concerns, development of review criteria and utilization management resources. * Foster positive and professional relationships and act as liaison with providers to ensure effective working relationships and team building in order to facilitate the review process. * Perform job functions within established time frames, participate in team quality review activities and meet performance metrics. * Utilize proper telephone etiquette and judicious use of other verbal and written communications, following KEPRO policies, procedures, and guidelines. * Provide technical assistance, consultation, and trainings to providers via phone, web-based and on-site. What you'll need: Required Qualifications * Active and unrestricted WV licensed Psychologist, Masters level WV licensed Social Worker (LGSW, LCSW, LICSW) or Licensed Professional Counselor (LPC). * In addition to above licensure, AADC or ADC certification is beneficial. * Must have high-speed (no dial-up) internet at home. * Must be willing to travel and have active, unrestricted driver's license, reliable transportation and active auto insurance. * Applicant must be able to work independently based remotely from their OSHA complaint home office committed to confidentiality of PHI. Knowledge, Skills, Abilities * Excellent verbal and written communication skills required. * Excellent flexibility, organizational skills, and ability to work with time constraints to meet deliverables. * Ability to review/analyze documentations against set standards. * Ability to interact appropriately with providers under stressful and/or changing conditions. Experience * Minimum 1-2 years experience in providing behavioral health and substance abuse services; experience with WV Medicaid preferred. * Must be proficient in Microsoft Office- specifically Word and Excel and internet/web navigation. Thank You! We know your time is valuable and we thank you in advance for applying for this position. Due to the high volume of applicants we receive, only those who are chosen to advance in our interview process w